The Effect of Acceptance and Commitment Therapy on Social anxiety and Perceived Stress in patients with Epilepsy
Authors
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Hamideh Sadeghnejad
Department of Psychology, Torbat-e Jam Branch, Islamic Azad University Torbat-e Jam, Iran
https://orcid.org/0000-0002-4031-4341
-
Saeed Teimory
Department of Psychology, Torbat-e Jam Branch, Islamic Azad University Torbat-e Jam, Iran
https://orcid.org/0000-0002-1916-7770
-
Mehdi Amiri
Department of Psychology, Torbat-e Jam Branch, Islamic Azad University Torbat-e Jam, Iran
https://orcid.org/0000-0002-6506-3390
DOI:
https://doi.org/10.22100/ijhs.v7i4.887Keywords:
Epilepsy, Patient, Acceptance and commitment therapy, Social anxiety, Perceived stressAbstract
Background: Epilepsy is one of the most common neurological disorders that can cause social anxiety and perceived stress in individuals. This study aimed to investigate the effects of Acceptance and Commitment Therapy (ACT) on social anxiety and perceived stress in patients with epilepsy.
Methods: It was a quasi-experimental study with pre-test and post-test design and equal control group performed on people with epilepsy under the auspices of the Khorasan Razavi epilepsy support association in 2019. Thirty patients were selected by purposive sampling method and randomly assigned to two groups (15 patients in the experimental group and 15 patients in the control group). Research tools including Conver's social anxiety questionnaire (2000) and Cohen et al.'s (1983) perceived stress questionnaire were used. Multivariate analysis of MANCOVA and ANCOVA multivariate analysis of covariance was used for data analysis.
Results: The results showed that the mean of social anxiety and perceived stress in the experimental group decreased significantly compared to the control group in the post-test (Pvalue<0.05). The results of one-way analysis of covariance with pre-test control showed that there was a significant difference between the two groups in terms of social anxiety (F=65.75 and Pvalue<0.001). Moreover, there was a significant difference between patients with epilepsy in the experimental group and the control group in terms of perceived stress (F=138.56 and Pvalue<0.001).
Conclusions: It can be said that the ACT can reduce social anxiety and perceived stress in patients with epilepsy.
Keywords: Epilepsy, Patient, Acceptance and commitment therapy, Social anxiety, Perceived stress
References
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22. Connor, K.M., et al., Psychometric properties of the Social Phobia Inventory (SPIN): New self-rating scale. The British Journal of Psychiatry, 2000. 176(4): p. 379-386.
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29. Eilenberg, T., et al., Acceptance and commitment group therapy for health anxiety–Results from a pilot study. Journal of anxiety disorders, 2013. 27(5): p. 461-468.
30. Moran, D.J. and S. Ming, The mindful action plan: Using the MAP to apply acceptance and commitment therapy to productivity and self-compassion for behavior analysts. Behavior Analysis in Practice, 2020: p. 1-9.
31. Prevedini, A.B., et al., Acceptance and commitment therapy (ACT): the foundation of the therapeutic model and an overview of its contribution to the treatment of patients with chronic physical diseases. G Ital Med Lav Ergon, 2011. 33(1 Suppl A): p. A53-63.
32. Biglan, A., S.C. Hayes, and J. Pistorello, Acceptance and commitment: Implications for prevention science. Prevention science, 2008. 9(3): p. 139-152.
33. Vyskocilova, J., et al., Values and values work in cognitive behavioral therapy. Activitas Nervosa Superior Rediviva, 2015. 57(1-2): p. 40-48.
34. Faryabi, M., A. Rafieepoor, and S. Khodaverdian, The effectiveness of acceptance and commitment therapy (ACT) on anxiety, perceived stress and pain coping strategies for patients with leukemia. KAUMS Journal (FEYZ), 2020. 24(4): p. 424-432.
35. Lundgren, T., et al., Evaluation of acceptance and commitment therapy for drug refractory epilepsy: a randomized controlled trial in South Africa—a pilot study. Epilepsia, 2006. 47(12): p. 2173-2179.
36. Barzegari dehaj, A., A. jorjandi, and F. Hossinsabet, efficiency of the acceptance and commitment therapy on individual`s psychological well-being in people with epilepsy in Imam Hossein Hospital in the autumn and winter of 2015. journal of ilam university of medical sciences, 2017. 25(1): p. 138-147.
37. Hayes, S.C. and K.D. Strosahl, A practical guide to acceptance and commitment therapy. 2005: Springer Science+ Business Media.
38. Ghadampour, E., L. Heidaryani, and F. Radmehr, The efficacy of acceptance and commitment therapy on distress tolerance dimensions of woman with epilepsy with three-month follow-up. Journal of Psychological Studies, 2020. 16(1): p. 123-140.
2. Kutlu, A., et al., Self-esteem, social phobia and depression status in patients with epilepsy. Nöro Psikiyatri Arşivi, 2013. 50(4): p. 320.
3. England, M.J., et al., Quality of Life and Community Resources, in Epilepsy Across the Spectrum: Promoting Health and Understanding. 2012, National Academies Press (US).
4. Hofmann, S.G., Cognitive factors that maintain social anxiety disorder: A comprehensive model and its treatment implications. Cognitive behaviour therapy, 2007. 36(4): p. 193-209.
5. Kaczkurkin, A.N. and E.B. Foa, Cognitive-behavioral therapy for anxiety disorders: an update on the empirical evidence. Dialogues in clinical neuroscience, 2015. 17(3): p. 337.
6. Heersink, M., et al., Social anxiety and its psychosocial impact on the lives of people with epilepsy. Epilepsy & Behavior, 2015. 51: p. 286-293.
7. Health, N.C.C.f.M. Social anxiety disorder: recognition, assessment and treatment. 2013. British Psychological Society.
8. Engidaw, N.A., L. Bacha, and A. Kenea, Prevalence of depression and associated factors among epileptic patients at Ilu Ababore zone hospitals, South West Ethiopia, 2017: a cross‑sectional study. Annals of general psychiatry, 2020. 19(1): p. 1-8.
9. McKee, H.R. and M.D. Privitera, Stress as a seizure precipitant: identification, associated factors, and treatment options. Seizure, 2017. 44: p. 21-26.
10. Novakova, B., et al., The role of stress as a trigger for epileptic seizures: a narrative review of evidence from human and animal studies. Epilepsia, 2013. 54(11): p. 1866-1876.
11. Salleh, M.R., Life event, stress and illness. The Malaysian journal of medical sciences: MJMS, 2008. 15(4): p. 9.
12. Harris, R., Embracing your demons: An overview of acceptance and commitment therapy. Psychotherapy in Australia, 2006. 12(4).
13. Fidelman, H., The efficacy of acceptance and commitment therapy on obsessive rumination, depression and resilience. Journal of Clinical Psychology and Psychotherapy, 2018. 15(155-167).
14. Hayes, S.C., et al., Acceptance and commitment therapy and contextual behavioral science: Examining the progress of a distinctive model of behavioral and cognitive therapy. Behavior therapy, 2013. 44(2): p. 180-198.
15. Kamali, S. and N. Kianrad, ACT in practice: Case conceptualization in acceptance and commitment therapy. 2 ed. 2017, Tehran: Arjemand Publications. 384.
16. Dindo, L., J.R. Van Liew, and J.J. Arch, Acceptance and commitment therapy: a transdiagnostic behavioral intervention for mental health and medical conditions. Neurotherapeutics, 2017. 14(3): p. 546-553.
17. Zhang, C.-Q., et al., Acceptance and commitment therapy for health behavior change: a contextually-driven approach. Frontiers in psychology, 2018. 8: p. 2350.
18. Holmes, G.L., Cognitive impairment in epilepsy: the role of network abnormalities. Epileptic Disorders, 2015. 17(2): p. 101-116.
19. Brodie, M.J., et al., Epilepsy, antiepileptic drugs, and aggression: an evidence-based review. Pharmacological reviews, 2016. 68(3): p. 563-602.
20. Fishman, J., et al., Patient emotions and perceptions of antiepileptic drug changes and titration during treatment for epilepsy. Epilepsy & Behavior, 2017. 69: p. 44-52.
21. Ebrahimpour, G., B. Mirzaian, and R. Hasanzadeh, Effectiveness of acceptance and commitment therapy on psychological well-being, quality of life and depression in patients with epilepsy. The Journal of Shahid Sadoughi University of Medical Sciences, 2019. 27(2): p. 1262-1279.
22. Connor, K.M., et al., Psychometric properties of the Social Phobia Inventory (SPIN): New self-rating scale. The British Journal of Psychiatry, 2000. 176(4): p. 379-386.
23. Hassanvand Amouzadeh, M., Validity and Reliability of Social Phobia Inventory in Students with Social Anxiety. Journal of Mazandaran University of Medical Sciences, 2016. 26(139): p. 166-177.
24. Cohen, S., T. Kamarck, and R. Mermelstein, A global measure of perceived stress. Journal of health and social behavior, 1983: p. 385-396.
25. Safaei, M. and O. Shokri, Assessing stress in cancer patients: Factorial validity of the perceived stress scale in Iran. Iranian Journal of Psychiatric Nursing (IJPN), 2014. 2(1).
26. Maroufizadeh, S., A. Zareiyan, and N. Sigari, Psychometric properties of the 14, 10 and 4-item “Perceived Stress Scale” among asthmatic patients in Iran. Payesh (Health Monitor), 2014. 13(4): p. 457-465.
27. Ghadampour, E., P. Radmehr, and L. Yousefvand, The efficacy of group acceptance and commitment therapy on health anxiety of woman with epilepsy with three-month follow-up. Medical Science Journal of Islamic Azad Univesity-Tehran Medical Branch, 2017. 27(4): p. 269-276.
28. P, M., et al., The effectiveness of acceptance and commitment therapy based on reducing anxiety and depression in students with social phobia. Journal of Ardabil University of Medical Sciences, 2014. 14(4): p. 412-423.
29. Eilenberg, T., et al., Acceptance and commitment group therapy for health anxiety–Results from a pilot study. Journal of anxiety disorders, 2013. 27(5): p. 461-468.
30. Moran, D.J. and S. Ming, The mindful action plan: Using the MAP to apply acceptance and commitment therapy to productivity and self-compassion for behavior analysts. Behavior Analysis in Practice, 2020: p. 1-9.
31. Prevedini, A.B., et al., Acceptance and commitment therapy (ACT): the foundation of the therapeutic model and an overview of its contribution to the treatment of patients with chronic physical diseases. G Ital Med Lav Ergon, 2011. 33(1 Suppl A): p. A53-63.
32. Biglan, A., S.C. Hayes, and J. Pistorello, Acceptance and commitment: Implications for prevention science. Prevention science, 2008. 9(3): p. 139-152.
33. Vyskocilova, J., et al., Values and values work in cognitive behavioral therapy. Activitas Nervosa Superior Rediviva, 2015. 57(1-2): p. 40-48.
34. Faryabi, M., A. Rafieepoor, and S. Khodaverdian, The effectiveness of acceptance and commitment therapy (ACT) on anxiety, perceived stress and pain coping strategies for patients with leukemia. KAUMS Journal (FEYZ), 2020. 24(4): p. 424-432.
35. Lundgren, T., et al., Evaluation of acceptance and commitment therapy for drug refractory epilepsy: a randomized controlled trial in South Africa—a pilot study. Epilepsia, 2006. 47(12): p. 2173-2179.
36. Barzegari dehaj, A., A. jorjandi, and F. Hossinsabet, efficiency of the acceptance and commitment therapy on individual`s psychological well-being in people with epilepsy in Imam Hossein Hospital in the autumn and winter of 2015. journal of ilam university of medical sciences, 2017. 25(1): p. 138-147.
37. Hayes, S.C. and K.D. Strosahl, A practical guide to acceptance and commitment therapy. 2005: Springer Science+ Business Media.
38. Ghadampour, E., L. Heidaryani, and F. Radmehr, The efficacy of acceptance and commitment therapy on distress tolerance dimensions of woman with epilepsy with three-month follow-up. Journal of Psychological Studies, 2020. 16(1): p. 123-140.
Published
2021-07-24
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How to Cite
The Effect of Acceptance and Commitment Therapy on Social anxiety and Perceived Stress in patients with Epilepsy. (2021). International Journal of Health Studies (Undergoing Change to Shahroud Journal of Medical Sciences), 7(4), 17-22. https://doi.org/10.22100/ijhs.v7i4.887
